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APPLICATION OF VACUUM THERAPY AND EPIDERMAL GROWTH FACTOR IN THE COMPLEX TREATMENT OF STERNOMEDIASTINITIS

https://doi.org/10.25881/20728255_2025_20_2_141

Abstract

A clinical case of successful treatment of a patient with purulent sternomediastinitis that developed in the immediate postoperative period after performing cardiac surgery is presented. Early diagnosis of this formidable complication was carried out by performing multispiral computed tomography with 3D reconstruction. In the complex treatment of sternomediastinitis, the main role was played by stage-by-stage surgical treatment of wounds using vacuum therapy and topical application of epidermal growth factor. A clinical recovery has been achieved while maintaining a high level of quality of life for the patient.

About the Authors

A. L. Levchuk
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



A. A. Katkov
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



V. G. Gudymovich
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



Z. N. Bosiev
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



P. A. Fedotov
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



F. A. Zainiddinov
Pirogov National Medical and Surgical Center
Russian Federation

Moscow



References

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7. Lafci G, Yasar E, Cicer O, et al. A novel modified Robicsek technique for sternal closure: “Double-check”, Asian Cardiovascular and Thoracic Annals 2013; 22(6): 758-760.


Review

For citations:


Levchuk A.L., Katkov A.A., Gudymovich V.G., Bosiev Z.N., Fedotov P.A., Zainiddinov F.A. APPLICATION OF VACUUM THERAPY AND EPIDERMAL GROWTH FACTOR IN THE COMPLEX TREATMENT OF STERNOMEDIASTINITIS. Bulletin of Pirogov National Medical & Surgical Center. 2025;20(2):141-144. (In Russ.) https://doi.org/10.25881/20728255_2025_20_2_141

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ISSN 2072-8255 (Print)
ISSN 2782-3628 (Online)